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Rockville Centre-based Catholic Health and Catholic Health Physician Partners Accountable Care Organization (ACO) is collaborating with the CVS ACO, a division of CVS Health based in Woonsocket, RI.
With this collaboration, the organizations aim to expand value-based care and health care access for Medicare beneficiaries across the Catholic Health Physician Network in New York.
Value-based care has received a lot of attention lately. The New England Journal of Medicine defines it as a model “in which providers, including hospitals and physicians, are paid based on patient health outcomes. Under value-based care agreements, providers are rewarded for helping patients improve their health, reduce the effects and incidence of chronic disease, and live healthier lives in an evidence-based way.”
In its partnership with CVS, Catholic Health seeks to build on its ACO program, boosting care for more than 40,000 Medicare beneficiaries on Long Island, and saving millions of dollars by meeting quality and total cost of care goals.
The two organizations say that the collaboration would help to strengthen care coordination for patients by providing customized support. That support includes home-based care, transportation support for annual wellness visits and connections to services to address social determinants of health.
It would also help improve support for Catholic Health providers, including primary care providers; enhance the health system’s care delivery service offerings, including adding same-day access, multidisciplinary chronic condition care management programs and analytics to allow physicians to provide top-of-license care; and utilize innovative value-based payments to incentivize providers, according to a news release about the partnership.
The agreement is based on the Centers for Medicare & Medicaid Innovation’s redesigned direct contracting model, ACO REACH. ACO REACH prioritizes health equity, the coordination of care among health care providers to improve outcomes, and the reduction of unnecessary medical costs by moving patients toward value-based care, according to the news release.
“Catholic Health looks forward to working with CVS ACO and bringing these important care enhancements to our Medicare population,” Catholic Health President and CEO Dr. Patrick O’Shaughnessy said in a statement.
“As CVS’s exclusive health system partner in the Long Island market, we will be able to reach more patients as a unified resource and will provide new equity-focused clinical programs and services at a time when access to high-quality health care is more important than ever,” he added.
“We know value-based care, particularly for Medicare beneficiaries, can help dramatically improve outcomes for patients who need it most and achieve lower costs,” Dr. Mohamed Diab, the CEO of CVS Accountable Care Organization said in a statement.
“That’s why value-based care as a framework is central to our broader care delivery strategy,” Diab added. “CVS ACO is bringing to the table powerful tools to help provide coordinated, high-quality care to Medicare patients.”
Diab noted the ACO REACH program enables CVS ACO to employ community-based assets such as MinuteClinic retail health clinics, as well as the company’s data analytics and connected electronic medical record technology to support providers as they care for patients with complex medical histories. The program also provides administrative tasks that include appointment and lab scheduling assistance and delivers actionable insights at the point-of-care to help providers offer more personalized patient care. Overall, the partnership allows for more integration, data sharing and care coordination resulting in less fragmentation and ultimately the goal of better outcomes, according to the news release.
The collaboration builds on Catholic Health’s Physician Partner’s ACOs effortssin the Medicare Shared Savings Program to help ensure that patients have access to equitable, accessible and high-quality care.
Catholic Health and CVS Health say they are committed to “reducing health disparities that contribute to unequal health outcomes,” according to the news release.
“CVS Health is focused on advancing health equity for our customers, colleagues, clients and communities by improving health care access and quality of health for every patient we serve,” Diab said.
“At Catholic Health, we are grounded in our humanity and dedicated to the transformation of health care,” said O’Shaughnessy. “We remain dedicated to making a critical difference in the health trajectory of the underserved and to enhancing the care in the communities most in need. That is what health equity is all about.”
Catholic Health will join a growing national network of providers working within the CVS ACO framework to care for Medicare beneficiaries. This network includes other clinically integrated networks, primary care groups and Federally Qualified Health Centers.
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